Objectives: The study findings have important Clinical implications, especially in the preoperative evaluation of Lung Nodules and aid in the radiological diagnosis based on CT features. Pulmonary Sclerosing pneumocytoma is a Benign, rare tumor of the lung that represents a diagnostic challenge due to the Non-specific CT findings. The Aim of this study was to present a 10-year experience with sclerosing pneumocytoma of a large center of CHINA for the diagnosis and treatment of pulmonary diseases, and to emphasize differential diagnostic dilemmas as a potential source of errors. Material and Methods: This represents a retrospective study of 31 patients diagnosed and treated with sclerosing pneumocytoma in the 10-year period. The study analyzed various Variables, including Gender, Age, Smoking history, Reason for CT, Nodule location, Nodule shape, Clinical symptoms, Calcifications, and Surgical Resections. Results: Sclerosing pneumocytoma was more frequently diagnosed in females (93.5%). The patients ranged in age from 28 to 68. Most of the patients (77.4%) were asymptomatic. 30 patients had no history of smoking (96.8%). Mean Nodule size was 14.4mm. Most nodules have Round, oval and smooth margin, with majority of Nodules have location in the lower lobes of both lungs. Most nodules were peripherally situated (54.83%). VATS with lobectomy performed in 25 (80.64%) patients while VATS with wedge resection performed in 6(19.64%) patients, without post-surgical complications and Normal follow up.